I assume he means he doesn't trust doctors to proscribed things? Can't imagine he means he doesn't trust pharmacies to sell good quality heroin or something like that
I don't believe doctors should be the gatekeepers to determine how high you should get.
I'd agree with this, if we required people to sign a document that said "You now waive your right to any state care you'd otherwise be entitled to receive, because you're about to become a heroin addict".
With the exception of (mandatory) rehab as a state provided service, of course.
The dumbest aspect of state run healthcare is that people like you think you get to vote on what kind of health care other people "need."
More accurately, the current paradigm drives the drug trade into the hands of degenerate street criminals.